WARREN JACKSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001978

License Status

NOT RENEWED

Business

First Name

WARREN

Last Name

JACKSON

Business Name

WARREN JACKSON

Original Issue Date

03/02/1950

Effective Date

03/02/1950

Expiration Date

07/01/1982

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006